Desiree Deanovic, PA-C

NPI #1932871910 in Faribault, Minnesota

Provider Information

NPI Number: 1932871910
Entity Type: Individual
Name: Desiree Deanovic, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2021
Last Updated: Oct 11, 2021

Practice Location

Address: 300 STATE AVE
City: Faribault
State: Minnesota
ZIP Code: 55021-6319
Phone: (507) 333-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X	Primary

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